Dilliswar Sahoo MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DILLISWAR SAHOO MD PC

Practice address

48 W Phillips St
Coaldale, PA 18218-1437

Phone

(570) 645-2184

Fax

(570) 645-3297

NPI assigned

Jul 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dilliswar Sahoo, MD

Title

President

Phone

(570) 645-2184

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265932800000",
    "number": "1851321897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "182180025",
            "telephone_number": "570-645-2184",
            "fax_number": "570-645-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W PHILLIPS ST",
            "city": "COALDALE",
            "state": "PA",
            "postal_code": "182181437",
            "telephone_number": "570-645-2184",
            "fax_number": "570-645-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLISWAR SAHOO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-02-12",
        "status": "A",
        "authorized_official_last_name": "SAHOO",
        "authorized_official_first_name": "DILLISWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-645-2184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008909790002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1390391",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "060001056",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devon M Bizarre, PA-C
• Carbon Schuylkill Community Hospital (St. Luke's Miners Memorial Hospital)
• Carbon-Schuylkill Community Hospital, Inc. (St. Luke's Miner's Physician Assistants)
• Coaldale Cardiology, Inc.
• Coaldale Community Ambulance Association
• Ethan Eichhorst
• Kathleen C Fishe, PA-C
• Diana Gomez, OTR/L; RT, (R), (CT)
• James Hanson, PHYSICAL THERAPIST
• Jeffrey Michael Hostetter, D.O.

• Internal Medicine Physician in Coaldale, PA
• Providers in Coaldale, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.